甲申夏，予于登厕时，忽然体冷汗出，气怯神疲。孟英视之曰∶阳气欲脱也。猝不及
得药。适有三年女佩姜一块。约重四至五钱，急煎而灌之，即安。后用培补药，率以（人）参 （黄） （白）
术（炙）草为主，盖气分偏虚也。
郑九，经越医陈六顺延医，服药后汗出昏狂，精流欲脱。孟英切其脉，既散且乱，沉取极细。曰∶此证颇
危，生机仅存一线。亦斯人阴分素亏，不可尽谓桂、附之罪也。以∶元参 生地 知母 黄柏 白芍 石斛
百合 甘草 栀子 桑枝 龙骨 牡蛎 盐水炒豆豉，为大剂灌之，下咽即安。次日，去栀、豉、甘草、加龟
版、鳖甲、盐水炒橘红，服十余帖而康。
某媪，年六十余，患腰腿串痛，闻响声，即两腿筋掣不可耐，且必二、三十次。卧榻数载，诸药罔效。孟
英察脉沉弦，苔腻便秘。亦因广服温补而致病日剧也。与∶雪羹 羚（羊角） 楝（实） 胆星 橘络 竹沥
丝瓜络，吞礞石滚痰丸及当归龙荟丸，四剂，大泻数十次，臭韧异常，筋掣即已。乃去二丸，加（山）栀、
（黄）连、羊藿，服六剂。即健饭而可扶掖以行矣。
某妪，患腰痛胀欲捶，多药不效。孟英视其形虽羸瘦，而脉滑痰多，苔黄舌绛。曰∶体虚病实，温补非宜。
苟不攻去其痰，徒以疲药因循，则病益实，体益虚。糜帑劳师，养成寇患，岂治病之道哉？先以∶雪羹（汤）
加竹茹、楝实、绿萼梅、杏仁、花粉、橘红、茯苓、旋复，吞控诞丹，服后果下胶痰，三进而病若失。嗣
予调补获痊。
牙行王炳华室，夏患臂痛。孙某曰∶风也。服参、 、归、芍数帖，臂稍愈而脘痛。孙曰∶寒也。加以桂、附，
痛不止而渐觉痰多。孙曰∶肝肾不足也，重用熟地、枸杞，令其多服取效。不料愈服愈剧，渐至昏厥。孙尚以
为药力之未到，病体之久虚，前方复加重，甚而时时发厥。始请孟英诊之，脉沉而有弦滑且数之象。乃谓炳华曰∶
此由过投温补，引动肝风，煽其津液为痰，痰复乘风而上，此晕厥之所由来也。余波则奔流经络，四肢因而抽
搐，阳气尽逆于上，宜乎鼻塞面浮。浊气不能下达，是以便滞不饥。炳华曰∶（先生真）神见也。温补药服凡
三月矣，不知尚可救乎？孟英曰∶不疑吾药，犹有望焉。遂予大剂甘寒熄风化饮，佐以凉苦泄热清肝，厥果渐
止，而各恙递蠲，两月后，康复如常。
某，劳力人，阴分素亏，骤感风湿，两膝刺痛酸软，不能稍立。孟英以六味地黄汤加独活、豆卷，一剂知，二剂已。
徐月岩室，患周身麻木，四肢瘫痪，口苦而渴，痰冷如冰，气逆欲呕，汛愆腹胀。频饮极热姜汤，似乎畅
适。深秋延至季冬，服药不愈。孟英诊脉∶沉弦而数。因问曰∶溺热如火乎？间有发厥乎？病者唯唯。遂以∶
雪羹 旋（复） 赭（石） 栀（子） 楝（实） （竹）茹 （石）斛 知母 花粉
桑枝 羚羊（角） 橄榄 蛤壳为方，送下当归龙荟丸，服之降序，二十剂，即能起榻。乃去羚（羊角）、赭
（石），加洋参、生地、苁蓉、藕（汁），投之渐愈。
高某，患两膝筋络酸痛，略不红肿，卧则痛不可当，彻夜危坐。孟英切脉，虚细，苔色黄腻，咽燥溺赤。与∶
知（母） （石）斛 栀（子） 楝（实） 牛膝 豆卷 桑枝 竹沥为方，送虎潜丸，旬日而瘳。
谢谱香，素体阴虚，忽患环跳穴痛，始而下及左腿，继而移于右腿，甚至两足转筋，上冲于腹间，或痛
自乳起，下注于髀，日夜呼号，肢冷自汗，略难反侧。医见其血不华色，辄投补剂。迨仲
春孟英自江西归，诊脉弦软微滑，畏热知饥，溲赤便坚，舌红不渴。乃阴虚而痰气滞于厥阴也。以∶苁蓉 鼠矢
竹茹 丝瓜络 橘核 茴香汤炒当归 吴萸汤炒黄连 川椒汤炒乌梅 延胡汤炒楝实 海 凫茈为剂，一服
即减，数啜而安，继与虎潜加秦艽而起。
甲申年夏天，我在上厕所时，突然身体发冷、冷汗直流，气息虚弱、精神疲惫。王孟英诊视后说：“这是阳气即将脱失的征兆。”病情紧急，来不及抓药。恰好有一位三年未断奶的女婴佩戴的一块生姜，大约重四到五钱，急忙煎汤灌服，症状随即缓解。后来用培补元气的药物调理，主要以人参、黄芪、炙白术、甘草为主，因为患者气分偏于虚弱。
郑九，经浙江医生陈六顺延治疗，服药后出汗、神志昏乱狂躁，精气外泄有脱失之象。王孟英切其脉象，既散乱又无序，沉取极细。他说：“这个证候很危险，生机仅存一线。这也是此人阴分素来亏虚，不能全怪桂枝、附子温阳药的过错。”于是开具：玄参、生地、知母、黄柏、白芍、石斛、百合、甘草、栀子、桑枝、龙骨、牡蛎、盐水炒豆豉，为大剂量煎服，药下咽即安。第二天，去掉栀子、豆豉、甘草，加入龟版、鳖甲、盐水炒橘红，服用十余帖后康复。
某位老妇人，六十多岁，患腰腿串痛，听到响声，双腿筋脉抽搐难以忍受，且必须发作二三十次才能缓解。卧床数年，各种药物无效。王孟英察其脉象沉弦，舌苔腻，便秘。也是因为长期广泛服用温补药物导致病情日益加重。给予：雪羹（海蜇、荸荠）、羚羊角、楝实、胆南星、橘络、竹沥、丝瓜络，吞服礞石滚痰丸及当归龙荟丸，四剂药后，大泻数十次，排泄物臭秽坚韧异常，筋脉抽搐随即停止。于是去掉两丸药，加入山栀、黄连、藿香，服用六剂。即可正常进食，并能搀扶行走。
某位老妪，患腰痛胀满欲捶打感，多种药物无效。王孟英观察其形体虽然羸瘦，但脉滑、痰多，舌苔黄、舌质绛。他说：“体质虚弱而病邪实证，温补并不适宜。如果不攻逐去除体内的痰浊，仅仅用疲软的补药拖延，那么病邪会更实，体质会更虚。耗费钱财、劳师动众，养成寇患，这难道是治病之道吗？”先用：雪羹汤加竹茹、楝实、绿萼梅、杏仁、花粉、橘红、茯苓、旋复花，吞服控涎丹，服药后果然排出胶结之痰，服用三次后病若消失。随后给予调补药物而痊愈。
牙行商人王炳华的妻子，夏季患手臂疼痛。孙姓医生说：“是风邪。”服用人参、[缺字]、当归、白芍数帖，手臂稍愈但胃脘部疼痛。孙医生说：“是寒邪。”加上桂枝、附子，疼痛不止且逐渐觉得痰多。孙医生说：“肝肾不足。”重用熟地、枸杞，令其多服以取效。不料越服越严重，逐渐至昏厥。孙医生仍认为是药力未到，病体久虚，前方再次加重，甚至时时发厥。始请王孟英诊治，脉象沉而有弦滑且数的象。于是对炳华说：“这是由于过度投用温补药物，引动肝风，煽动津液化为痰，痰复乘风而上，这就是晕厥产生的原因。余波流窜经络，四肢因而抽搐，阳气尽逆于上，所以鼻塞面浮。浊气不能下达，因此大便滞涩、不知饥饿。”炳华说：“先生真是神见啊！温补药服用了三个月了，不知道还能救吗？”王孟英说：“不怀疑我的药，还有希望。”于是给予大剂甘寒熄风化饮，佐以凉苦泄热清肝，厥逆果然逐渐停止，各病症依次消除，两个月后，康复如常。
某人，从事体力劳动的人，阴分素来亏虚，骤然感受风湿，两膝刺痛酸软，不能稍微站立。王孟英用六味地黄汤加独活、豆卷，一剂见效，二剂痊愈。
徐月岩的妻子，患周身麻木，四肢瘫痪，口苦而渴，痰冷如冰，气逆欲呕，月经延期腹胀。频繁饮用极热的姜汤，似乎感到舒适。从深秋延至季冬，服药不愈。王孟英诊脉：沉弦而数。于是问：“小便热如火烧吗？偶尔有发厥吗？”病人唯唯诺诺。于是以：雪羹、旋复花、赭石、栀子、楝实、竹茹、石斛、知母、花粉、桑枝、羚羊角、橄榄、蛤壳为方，送下当归龙荟丸，服用后按序降逆，二十剂，就能起床。于是去掉羚羊角、赭石，加入洋参、生地、肉苁蓉、藕汁，投服后逐渐痊愈。
高某，患两膝筋络酸痛，略不红肿，躺下则痛不可当，彻夜危坐。王孟英切脉，虚细，舌苔色黄腻，咽燥尿赤。给予：知母、石斛、栀子、楝实、牛膝、豆卷、桑枝、竹沥为方，送服虎潜丸，旬日而愈。
谢谱香，素体阴虚，忽然患环跳穴疼痛，起初向下波及左腿，继而移于右腿，甚至两足转筋，向上冲入腹间，或疼痛自乳房起，向下注于大腿，日夜呼号，肢冷自汗，略微难以翻身侧卧。医生见其面色无华，辄投补剂。等到仲春时节，王孟英从江西归来，诊脉弦软微滑，畏热知饥，小便赤、大便干结，舌红不渴。这是阴虚而痰气滞于厥阴经。以：肉苁蓉、鼠矢（两头尖）、竹茹、丝瓜络、橘核、茴香汤炒当归、吴茱萸汤炒黄连、川椒汤炒乌梅、延胡索汤炒楝实、海藻、凫茈为剂，一服即减，数服而安，继与虎潜丸加秦艽而起。
In the summer of Jiashen, while I was using the toilet, my body suddenly became cold with profuse cold sweat, and my qi was weak and spirit exhausted. Wang Mengying examined me and said, "This is a sign that yang qi is about to collapse." The situation was urgent, leaving no time to prepare medicine. Fortunately, there was a piece of ginger worn by a three-year-old girl who had not yet been weaned, weighing approximately four to five qian. It was hastily decocted and administered orally, after which I immediately felt better. Later, tonic medicines were used for recovery, primarily consisting of Renshen (Ginseng Radix), Huangqi (Astragali Radix), Zhizhushu (Roasted Atractylodis Rhizoma), and Gancao (Licorice Root), because the qi aspect was predominantly deficient.
Zheng Jiu was treated by Dr. Chen Liushun from Zhejiang. After taking the medicine, he sweated, became delirious and manic, and his essence flowed out with signs of collapse. Wang Mengying palpated his pulse, finding it scattered and chaotic, extremely fine upon deep pressure. He said, "This condition is quite critical; only a thread of vitality remains. This person's yin aspect has been inherently deficient, so one cannot blame Gui Zhi (Cinnamon Twig) and Fuzi (Prepared Aconite Root) entirely for this outcome." The prescription included: Xuanshen (Scrophulariae Radix), Shengdi (Rehmanniae Radix), Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Baishao (Paeoniae Radix Alba), Shihu (Dendrobii Caulis), Baihe (Lilii Bulbus), Gancao (Licorice Root), Zhizi (Gardeniae Fructus), Sangzhi (Mori Ramulus), Longgu (Fossilia Ossis Mastodi et Scapulae), Muli (Concha Ostreae), and Douchi (Fermented Soybean) stir-fried in salt water. A large dose was administered, and peace returned as soon as the medicine was swallowed. The next day, Zhizi, Douchi, and Gancao were removed, and Guiban (Carapax Testudinis) and Biejia (Carapax et Plastrum Testudinis) and Ju Hong (Citri Reticulatae Pericarpium) stir-fried in salt water were added. After more than ten doses, he recovered.
An elderly woman, over sixty years old, suffered from wandering pain in her waist and legs. Upon hearing a noise, her leg tendons would spasm unbearably, requiring twenty or thirty spasms to subside. She had been bedridden for several years with no effect from various medicines. Wang Mengying observed her pulse as deep and wiry, tongue coating greasy, and constipation. The illness was exacerbated by extensive use of warming and tonifying medicines. The prescription given was: Xue Geng (a formula of Calcaria Haliae and Dioscoreae Hypoglaucae Rhizoma), Lingyangjiao (Saigae Tataricae Cornu), Lianshi (Meliae Fructus), Danning (Arisaematis Cum Bile), Juluo (Tomentosus Citri Reticulatae Pericarpium Retinervia), Zhuli (Bambusae Succus), Sigualuo (Luffae Fructus Retinervia). She took Qingshi Guntan Wan (Magnoliae Bark and Magnetite Pill) and Danggui Longhui Wan (Angelica Sinensis and Gardenia Pill). After four doses, she had severe diarrhea dozens of times, with excrement that was foul-smelling and tough. The tendon spasms ceased immediately. The two pills were then discontinued, and Shan Zhi (Gardeniae Fructus), Huanglian (Coptidis Rhizoma), and Huoxiang (Agastaches Herba) were added. After six doses, she could eat normally and walk with support.
Another elderly woman suffered from lower back pain with a distending sensation, feeling the need to punch the area. Various medicines were ineffective. Wang Mengying noted that although her physique was emaciated, her pulse was slippery with much phlegm, tongue coating yellow, and tongue body crimson. He said, "The constitution is deficient, but the disease is excess; warming and tonifying are inappropriate. If the phlegm is not attacked and expelled, merely delaying with mild tonics will make the disease more excessive and the constitution more deficient. Wasting money and resources, nurturing the 'bandit' (pathogen), is not the way to treat disease." First, Xue Geng Tang (Decoction) was given with Zhuru (Bambusae Caulis in Taeniam), Lianshi (Meliae Fructus), Lvemei (Plum Flower), Xingren (Armeniacae Semen Amarum), Huafen (Trichosanthis Radix), Ju Hong (Citri Reticulatae Pericarpium), Fuling (Poria), and Xin Yi (Bupleuri Radix - *Note: Text says 旋复, likely Xin Yi or Xuan Fu Hua, context suggests resolving phlegm/qi, Xuan Fu Hua fits better with phlegm, but text says 旋复 which usually refers to Inulae Flos/Xuan Fuhua*). She swallowed Kong Dan Dan (Emetic Pill for Phlegm). As expected, sticky phlegm was discharged. After three doses, the illness seemed to vanish. Subsequently, regulatory and tonifying medicines were given, leading to full recovery.
Wang Binghua, a broker, suffered from arm pain in summer. Dr. Sun diagnosed it as wind. After several doses of Renshen (Ginseng Radix), [missing character], Danggui (Angelicae Sinensis Radix), and Baishao (Paeoniae Radix Alba), the arm pain slightly improved but epigastric pain appeared. Dr. Sun then diagnosed cold and added Guizhi (Cinnamon Twig) and Fuzi (Prepared Aconite Root). The pain did not stop, and phlegm increased. Dr. Sun then diagnosed liver and kidney deficiency, heavily using Shudi (Prepared Rehmanniae Radix) and Gouqi (Lycii Fructus), advising prolonged use for effect. Unexpectedly, the condition worsened with continued use, eventually leading to fainting. Dr. Sun still believed the medicinal power had not reached its peak due to chronic deficiency, increasing the dosage further, causing frequent fainting spells. Wang Mengying was then consulted. The pulse was deep, wiry, slippery, and rapid. Wang told Binghua, "This resulted from excessive administration of warming and tonifying medicines, which stirred up liver wind, steamed body fluids into phlegm. The phlegm followed the wind upward, causing fainting. The residual pathogen flows through the collaterals, causing limb convulsions. Yang qi reverses upward, causing nasal congestion and facial edema. Turbid qi fails to descend downward, leading to bowel stagnation and lack of appetite." Binghua said, "Sir, your insight is divine! I have taken warming tonics for three months; can I still be saved?" Wang replied, "If you do not doubt my medicine, there is hope." A large dose of sweet-cold medicines to extinguish wind and resolve fluid retention was given, assisted by bitter-cool medicines to clear heat and soothe the liver. The fainting gradually stopped, and all ailments receded sequentially. Two months later, she was fully recovered.
A manual laborer, whose yin aspect was inherently deficient, suddenly contracted wind-dampness. His knees pricked with pain and felt sore and weak, unable to stand even for a moment. Wang Mengying prescribed Liuwei Dihuang Tang (Six-Ingredient Rehmannia Decoction) plus Du Huo (Angelicae Pubescentis Radix) and Dou Juan (Vigna Seed Germinatum). One dose brought improvement, and two doses cured him.
Mrs. Xu Yueyan suffered from numbness throughout the body, paralysis of the four limbs, bitter taste in the mouth with thirst, cold phlegm like ice, rebellious qi with nausea, delayed menstruation, and abdominal distension. She frequently drank extremely hot ginger soup, feeling temporarily relieved. From late autumn to mid-winter, medicines failed to cure her. Wang Mengying palpated the pulse: deep, wiry, and rapid. He asked, "Is urination hot like fire? Do you occasionally experience fainting?" The patient nodded affirmatively. The prescription included: Xue Geng, Xuanfu (Inulae Flos), Zhe Shi (Hematitum), Zhizi (Gardeniae Fructus), Lianshi (Meliae Fructus), Zhuru (Bambusae Caulis in Taeniam), Shihu (Dendrobii Caulis), Zhi Mu (Anemarrhenae Rhizoma), Huafen (Trichosanthis Radix), Sangzhi (Mori Ramulus), Lingyangjiao (Saigae Tataricae Cornu), Ganlan (Olive), and Geke (Meretricis et Cyprini Shell). She took Danggui Longhui Wan (Angelica Sinensis and Gardenia Pill). The symptoms descended in order, and after twenty doses, she could get out of bed. Lingyangjiao and Zhe Shi were then removed, and Yangshen (American Ginseng Radix), Shengdi (Rehmanniae Radix), Congrong (Cynomorii Herba), and Ou Zhi (Loti Radix Juice) were added. Gradually, she improved.
Gao suffered from soreness and pain in the tendons and collaterals of both knees, without redness or swelling. Lying down made the pain unbearable, forcing him to sit upright all night. Wang Mengying palpated the pulse: deficient and fine. Tongue coating was yellow and greasy, throat dry, urine red. The prescription was: Zhi Mu (Anemarrhenae Rhizoma), Shihu (Dendrobii Caulis), Zhizi (Gardeniae Fructus), Lianshi (Meliae Fructus), Niuxi (Achyranthis Bidentatae Radix), Dou Juan (Vigna Seed Germinatum), Sangzhi (Mori Ramulus), Zhuli (Bambusae Succus). She took Huqian Wan (Tiger Crouching Pill). After ten days, she recovered.
Xie Puxiang, whose constitution was inherently yin-deficient, suddenly suffered from pain at the Huantiao acupoint. Initially, it spread down the left leg, then shifted to the right leg, even causing calf cramps shooting up to the abdomen. Sometimes pain started from the breast and radiated down to the thigh. He cried out day and night, with cold limbs and spontaneous sweating, finding it difficult to turn over. Doctors, seeing his pale complexion, administered tonics. When Wang Mengying returned from Jiangxi in mid-spring, he palpated the pulse: wiry, soft, and slightly slippery. The patient feared heat, knew hunger, had red urine and hard stools, red tongue but no thirst. This was yin deficiency with phlegm-qi stagnation in the Jueyin channel. The prescription included: Congrong (Cynomorii Herba), Shoushi (Diabroticae Faex), Zhuru (Bambusae Caulis in Taeniam), Sigualuo (Luffae Fructus Retinervia), Juhe (Citri Reticulatae Pericarpium), Huixiang (Foeniculi Fructus) stir-fried with Danggui (Angelicae Sinensis Radix), Wuyu (Evodiae Fructus) stir-fried with Huanglian (Coptidis Rhizoma), Chuanjiao (Zanthoxyli Pericarpium) stir-fried with Wumei (Mume Fructus), Yanhusu (Corydalis Rhizoma) stir-fried with Lianshi (Meliae Fructus), Haizao (Sargassum), and Fuci (Dioscoreae Hypoglaucae Rhizoma). One dose reduced symptoms, several doses brought peace. Subsequently, Huqian Wan (Tiger Crouching Pill) plus Qin Jiao (Gentianae Macrophyllae Radix) was given, leading to recovery.